| Promed Family Practice --rhc | |
|
1241 W Broadway St Three Rivers MI 49093-8319 | |
| (269) 273-9539 | |
| Not Available |
| Full Name | Promed Family Practice --rhc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1241 W Broadway St, Three Rivers, Michigan |
| Authorized Official Name and Position | Edward M Millermaier (CMO) |
| Authorized Official Contact | 2695522910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Promed Family Practice --rhc 5943 Stadium Dr Ste 4 Kalamazoo MI 49009-3016 Ph: () - | Promed Family Practice --rhc 1241 W Broadway St Three Rivers MI 49093-8319 Ph: (269) 273-9539 |
| NPI Number | 1316099302 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316099302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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